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51 Cards in this Set
- Front
- Back
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Haldol - Generic Name
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haloperidol lactate
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Haldol - Classification
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antipsychotic/neuroleptic
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Haldol - Action
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blocks dopamine (type 2) receptors in the brain, altering mood and behavior
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Haldol - Onset
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30 - 60 minutes
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Haldol - Duration
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12 - 24 hours
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Haldol - Indications
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acute psychotic episodes
emergency sedation of severely agitated or delirious patients |
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Haldol - Contraindications
(4) 2c,p,s |
CNS depression
coma pregnancy severe liver or cardiac disease |
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Haldol - Side Effects
(6) a,b,d,h,n,o |
allergic reactions
blurred vision dose related extrapyramidal reactions hypotension N/V orthostatic hypotension |
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Haldol - Notes
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may inhibit vasoconstrictor effects of epi
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Haldol - Adult Dose
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2 - 5 mg IM every 4 - 8 hours as needed
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Haldol - Peds Dose
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Not established
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Haldol - Pregnancy Class
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Class C
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Lidocaine - Names
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Xylocaine
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Lidocaine - Classification
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antidysrhythmic, local anesthetic
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Lidocaine - Action
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decreases automaticity
treats V-tach and some V-fib raises V-fib threshold |
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Lidocaine - Onset
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30 - 90 seconds
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Lidocaine - Duration
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10 - 20 minutes
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Lidocaine - Indications
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V-tach
V-Fib wide complex tachycardia of uncertain origin significant ventricular ectopy in MI |
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Lidocaine - Contraindications
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2nd degree block w/no pacemaker
3rd degree block w/no pacemaker Adams-Stokes syndrome |
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Lidocaine - Side Effects
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aloc
bradycardia blurred vision cardiovascular collapse confusion hypotension light-headedness |
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Lidocaine - Adult Dose, Initial dose
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1 - 1.5 mg/kg IV bolus (ET 2 - 2.5 times dose), consider repeat in 3 - 5 minutes
max total dose 3 mg/kg single dose of 1.5 mg/kg is acceptable for refractory fib/tach |
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Lidocaine - Peds Dose, Arrest/V-tach/V-fib
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1 mg/kg IV/IO or ET (diluted to 3 - 5 mL)
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Lidocaine - Adult Dose, Maintenance Infusion
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1 - 4 mg/min
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Lidocaine - Peds Dose, Maintenance Infusion
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20 - 50 mcg/kg/min
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Lidocaine - Peds Dose, Wide Complex PSVT/tach of uncertain type/Sable V-tach
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1 - 1.5 mg/kg IV, follow w/infusion after conversion
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Lidocaine - Pregnancy Class
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Class B
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Lidocaine - Notes
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apnea induced by sux may be prolonged w/large doses of lidocaine
always treat brady w/atropine before treating PVCs with lido decrease dose in elderly |
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Isoproterenol - Names
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Isuprel
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Isoproterenol - Action
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increases inotropic activity
increases chronotropic activity causes arterial and bronchodilation |
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Isoproterenol - Classification
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sympathomimetic
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Isoproterenol - Onset
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1 - 5 minutes
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Isoproterenol - Duration
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15 - 30 minutes
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Isoproterenol - Indications
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hemodynamically significant bradys unresponsive to atropine, TCP, dopamine, and epi
torsades de pointes |
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Isoproterenol - Contraindications
(6) c,h,i,p,2v |
cardiac arrest
hypotension ischemic heart disease/angina pulseless idioventricular rhythm v-tach v-fib |
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Isoproterenol - Side Effects
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discoloration of saliva (pink)
dry throat dysrhythmias facial flushing hypotension precipitation of angina pectoris restlessness |
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Isoproterenol - Adult Dose
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dilute 1 mg in 250 mL D5W (4 mcg/mL) and infuse at 2 - 10 mcg/min to effect
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Isoproterenol - Peds Dose
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not recommended
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Isoproterenol - Pregnancy Class
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Class C
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Isoproterenol - Notes
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pacing is preferrable to isoproterenol
can increase myocardial oxygen demand and induce serious dysrhythmias |
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Magnesium Sulfate - Class
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electrolyte
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Mag Sulfate - Action
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reduces striated muscle contraction
blocks peripheral neuromuscular transmission inhibits contractions of premature labor |
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Mag Sulfate - Onset
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IV: immediate
IM: 3 - 4 hours |
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Mag Sulfate - Duration
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IV: 30 min
IM: 3 - 4 hours |
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Mag Sulfate - Indications
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refractory v-fib
seizures of eclampsia status asthmaticus not responsive to beta-adrenergic drugs suspected hypomagnesemia torsades |
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Mag Sulfate - Side Effects
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circulatory collapse
diaphoresis diarrhea facial flushing hypotension hypothermia reduced heart rate respiratory depression |
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Mag Sulfate - Contraindications
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heart block
myocardial damage |
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Mag Sulfate - Adult Dose, Seizures associate w/pregnancy
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1 - 4 g IV, max dose 30 - 40 g/day
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Mag Sulfate - Adult Dose, Pulseless Arrest (hypomagnesemia, torsades)
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1 - 2 g diluted in 10 mL D5W IV push
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Mag Sulfate - Peds Dose
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25 - 50 mg/kg (max 2 g) over 5 - 10 minutes
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Mag Sulfate - Pregnancy Class
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Class B
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Mag Sulfate - Notes
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the "cure" for toxemia is delivery of the baby
use w/caution in patients w/renal failure |
